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Box 1 Typical loaded exercise progression

From: A mixed methods study to evaluate the clinical and cost-effectiveness of a self-managed exercise programme versus usual physiotherapy for chronic rotator cuff disorders: protocol for the SELF study

1. Week 0: Baseline assessment:

   ·Resisted isometric (no movement) shoulder abduction (taking the arm out to the side) against a wall, or

   ·Resisted shoulder abduction from 0 to 30° using moderate resistance from Theraband (resistive band used for training purposes).

2. Week 3: Initial follow-up:

   ·Resisted shoulder abduction from 80 to 120° using light weight, e.g. tin of food.

3. Week 6: Second follow-up:

   ·Resisted shoulder abduction from 80 to 120° with progressively increasing repetition and weight, e.g. heavy Theraband or dumbbell.

4. Week 12: Final follow-up/discharge.